HomeMy WebLinkAboutApproved Documents - 4/15/2024TRAVEL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Stephanie Shavers
NAME OF CLASS / MEETING:
NUSA 2024 Annual Conference -Lubbock, TX
DEPARTURE DATE:
5/22/2024
PURPOSE OF TRAVELITRAINING:
Creating Neighborhood Connections
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
METHOD
CITY VEHICLE
x AIRFARE
ESTIMATE OF COST:
650.00 LODGING
375.00 MEALS
200.00 REGISTRATION
MILEAGE/FUEL
FINANCE DEPT.
LINE ITEM USED
FY 7' .BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
Date:
3/21 /2024
DESTINATION:
Lubbock, TX
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
5/22-5/25
STAFF ONLY
72- 2-15D b3 �v
le,a--
;LO0G• 0 -
Copy - bepartment
X COST
YES NO
DEPARTING FROM: Waterloo
100.00 TAXI
PARKING
680.00 AIRFARE
MISCITOLLS
TOTAL FOR ALL: $ 2005
INDBELIEVE
IS NECESSARY AND BENEFICIAL TO THE PURPOSE
AND
CITY OF WATERLOO
•
z
DEPARTMENT HEAD
PRIVATE VEHICLE
BUDGET LINE ITEM:
_ GRANT REIMBURSABLE
YES NO BG2IA.ADMN
REQUIRED CERTIFICATION
YES NO
TOTAL: $ 2005
PER PERSON
I APPROVE THIS TRAVEL REQUEST
vett ZOvl GIGITALLY
TT,'�"/�I`' SIGNED
KAMXXXXX
4/15/2024
DATE
DATE
K:1Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 24 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
$120, 000.00
$82,585.05
$3,249.00
$34,165.95
03/28/2024
Copy - Department
NAME(S) AND POSITION(S):
Officer Watson
DATE: 03/28/2024
NAME OF CLASS / MEETING:
Forensic Fundamentals
DESTINATION: Waterloo, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
May 21, 2024
RETURN DATE:
May 24, 2024
DATE(S) OF MEETING:
May 21-24, 2024
PURPOSE OF TRAVEL/TRAINING:
Lt. Fangman is requesting to allow Officer Watson participate in the above listed webinar. This is an
entry level course for digital forensics. This training will not exceed $3249.00, which will be
reimbursed by the Internet Crimes Against Children Task Force.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
XX COST $
YES NO
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
PRIVATE VEHICLE
DEPARTING FROM: Waterloo, IOWa
ESTIMATE OF COST:
LODGING
$3,249.00
MEALS
REGISTRATION
MILEAGE/FU EL
TOTAL FOR ALL: $ $3,249.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-11-1100 1346
x GRANT REIMBURSABLE
YES NO
x REQUIRED CERTIFICATION
YES NO
TOTAL: $ $3,249.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Lt. Greg Fangman
Date Approved by Finance Committee:
4/15/2024
DEPARTMENT HEAD DATE
03/28/2024
DATE
K: \Shared Goodies\Forms\Travel Request Form
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 23 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
$120,000
$85,834.05
$1,350.00
$32,815.95
03/14/2024
Copy - Department
NAME(S) AND POSITION(S):
Officers Northup and Thomas
DATE: 03/29/2024
NAME OF CLASS / MEETING:
Basic Sniper School
DESTINATION: Sioux Falls, SD
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
May 5, 2024
RETURN DATE:
May 10, 2024
DATE(S) OF MEETING:
May 6-10, 2024
PURPOSE OF TRAVEL/TRAINING:
Lt. Fangman is requesting to send the above listed officers to this course, which has no registration
fee. The topics will enhance their roles for the WPD Tac Team as snipers . This training will not
exceed $1,350.00.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
XX COST $
YES NO
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
PRIVATE VEHICLE
DEPARTING FROM: Waterloo, Iowa
ESTIMATE OF COST:
$650.00 LODGING
$500.00 MEALS
REGISTRATION
$200.00 MILEAGE/FUEL
TOTAL FOR ALL: $ $1,350.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-11-1100 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ $675.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Lt. Greg Fangman
Date Approved by Finance Committee:
4/15/2024
DEPARTMENT HEAD DATE
03/29/2024
DATE
K: \Shared Goodies\Forms\Travel Request Form
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 24 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1160-1528
$41,000
$30,315.35
$1,720.00
$8,964.65
03/14/2024
Copy - Department
NAME(S) AND POSITION(S):
Four K-9 Officers
DATE: 04/01 /2024
NAME OF CLASS / MEETING:
2024 DLE K-9 Certification
DESTINATION: Independence, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
May 6, 2024
RETURN DATE:
May 10, 2024
DATE(S) OF MEETING:
May 6-10, 2024
PURPOSE OF TRAVEL/TRAINING:
Lt. Fangman is requesting to send four K-9 Officers to this K-9 certification. This training is a
mandatory certification process and the total cost will not exceed $1,720.00.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
XX COST $
YES NO
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
PRIVATE VEHICLE
DEPARTING FROM: Waterloo, Iowa
ESTIMATE OF COST:
LODGING
$1,720.00
MEALS
REGISTRATION
MILEAGE/FU EL
TOTAL FOR ALL: $ $1720.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-11-1160 1528
x GRANT REIMBURSABLE
YES NO
x
YES NO
TOTAL: $ $430.00 PER PERSON
REQUIRED CERTIFICATION
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Lt. Greg Fangman
Date Approved by Finance Committee:
4/15/2024
DEPARTMENT HEAD DATE
04/01/2024
DATE
K: \Shared Goodies\Forms\Travel Request Form
qua Mad
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-01-8400 1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 24 BUDGETED $20,000.00
EXPENDED YTD $8,791.90
THIS REQUEST $767.84
LEFT AFTER THIS
REQUEST $8,024.06
DATE 4/2/24
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
LeAnn M. Even, Deputy City Clerk
DATE: April 2, 2024
NAME OF CLASS / MEETING:
Iowa Municipal Professionals Academy
DESTINATION:
Ames, Iowa
DEPARTURE POINT Jesup, Iowa
IF NOT WATERLOO:
DEPARTURE DATE:
June 19, 2024
RETURN DATE:
June 21, 2024
DATE(S) OF MEETING:
June 19-21, 2024
PURPOSE OF TRAVEL/TRAINING:
Continuing Education
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
356.16 LODGING
75.00 MEALS
200.00 REGISTRATION
204/136.68 MILEAGE/FUEL
TOTAL FOR ALL: $ 767.84
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010 03 8400 1346
x GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 767.84 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Date Approved by Finance Committee:
Kelley Felchle 4/15/2024
DEPARTMENT HEAD DATE
4/2/24
DATE
K: \Shared Goodies\Forms\Travel Request Form
7/0IIIGI441
IGNED
Municipal Professionals Academy
June 19-21, 2024
Gateway Hotel & Conference Center
2100 Green Hills Drive I Ames, Iowa
Sponsored by Iowa State University Office of State & Local Government Programs and the
Iowa Municipal Finance Officers Association in cooperation of the Iowa League of Cities.
Register online by June 7. Shirt deadline is May 31.
The purpose of the continuing education training
for city clerks, finance officers, and others is:
• To provide in-depth training for clerks and
municipal staff to get useful, up-to-date
information that will assist them in their job
performance
• Opportunities to meet clerks from across
the state —make friends and business
acquaintances
• Updates on new laws, programs, and
technology affecting Iowa municipal
government
• Opportunity for credit toward recertification
for IMFOA and IIMC sponsored certifications
Register online at:
https://www.extension.iastate.edu/
communities/municipal-professionals-
academy
Questions?
Contact: Iowa State University Extension and
Outreach Community and Economic Development
2321 North Loop Drive, Suite 121
Ames, IA 50010
sshonrociastate.edu
aveldieiastate.edu
SCHEDULE OVERVIEW
Wednesday, June 1
8:00-
10:00 a.m.
10:15 a.m.-
1 2:15 p.m.
1:00-3:00
p.m.
3:15-5:15
p.m.
❑ Introduction, 1-1 :1 0 p.m.
(General Session)
❑ How HF71 8 has Changed the
Budgetary Landscape
(General Session)
❑ Using the GTD method to Get
Things Done: Managing your time
and tasks
(General Session)
(Choose One Option Per Time Block)
❑ Option 1 : Composing Effective, Audience -Centered
Documents More Efficiently in the Age of Al
❑ Option 2: National Floodplain Insurance -
Understanding the New Regulations
❑ Option 3: Iowa's Open Meetings and Public
Records Law Update
❑ Option 4: Iowa's Living Roadways Community
Visioning Program
❑ Option 5: The Rest of the Story: Diving deeper into
personality colors
❑ Option 6: TIF, Bonds, and Urban Renewal —Oh my!
❑ Option 7: Conflicts of Interest in Local Government
❑ Option 8: Human Trafficking
❑ Option 9: Resources for Mental Health and
Substance Use in Communities
❑ Option 10: What Am I Missing? How to be a city
clerk when I'm the only one here
❑ Option 1 1: Cybersecurity and Infrastructure in Iowa
❑ Option 1 2: Neighborhood Services and Code
Compliance Options
❑ Questions, Discussions, and
Updates
(General Session)
❑ NO ONE COMMUNICATES
AROUND HERE!
(General Session)
Municipal Professionals Academy
COURSE DESCRIPTIONS
WEDNESDAY, JUNE 19
{1:00-1:10 p.m.} Introduction (Sara Shonrock, Institute Director, ISU Extension and Outreach)
{1:10-3:00 p.m.} How HF718 has Changed the Budgetary Landscape. One year into the changes to the way city budgets work, many Iowa
communities are still trying to make sense of the new way of business. Ted Nellesen will go over changes to the city budget and adoption process that
were approved by the Iowa Legislature in House File 71 8. Relevant examples and documents will be provided, and attendees are welcome to bring
their questions to this interactive session. (Ted Nellesen, Iowa Department of Management)
{3:15-5:15 p.m.} Using the GTD method to Get Things Done: Managing your time and tasks. Do you find yourself thinking "If only I had a couple
more hours in the day," or "If only I didn't have to do everything around here!"? Then attend this workshop to learn a quick and highly effective
way to manage your tasks, set priorities, and stick with your time management plan. During our time together, participants will uncover the secrets to
efficient time and task management. Using the GTD method, participants will learn about prioritization, the myth of multitasking, and how to end each
day and week feeling refreshed and accomplished, with a plan for what's next on their list of to dos. The skills learned in this session can be applied
immediately and are relevant to work and personal life. You won't want to miss this session! (Krisdeena Jansen, GLUTRECK)
THURSDAY, JUNE 20
{8:00-10:00 a.m.}
Option 1 — Composing Effective, Audience -Centered Documents More Efficiently in the Age of Al. Learn how to compose municipal documents more
effectively and efficiently by practicing audience analysis and using generative Al to speed up the process. Through a mixture of lecture, discussion, and
workshopping, attendees will explore strategies to compose common municipal documents for a variety of audiences and purposes and be introduced to
some ways to use generative Al ethically and responsibly to produce documents more efficiently. Whether you work in a small town or a large city, these
strategies will help you to be a more effective writer on the job. (Gloria Betcher, ISU Teaching Professor of English and City of Ames Councilperson)
Option 2 — National Floodplain Insurance -Understanding the New Regulations. Iowa Department of Natural Resources (IDNR) staff will provide
an overview of the National Flood Insurance Program, including administration and enforcement of the local floodplain management ordinance. The
presentation will focus on the regulatory requirements for new development proposed in the Special Flood Hazard Area and how to review proposed
projects and issue floodplain development permits. Local officials will be provided information on how to access Flood Insurance Rate Maps and how to
interpret the flood risk zones illustrated on the maps. (Jason Conn and Ken Buoma, Iowa Department of Natural Resources)
Option 3 — Iowa's Open Meetings and Public Records Law Update. This session will cover the requirements under Iowa Code Chapter 21 for open
meetings, notice, agendas, and minutes. It will also cover public records requests, including changes made to the law in July 2022. Participants will
have the opportunity to ask questions about some of the situations they encounter. Iowa Public Information Board (IPIB) staff will also share some of the
common questions we get in our office as well as recent IPIB advisory opinions and cases. (Ericka Eckley, Iowa Public Information Board)
COURSE DESCRIPTIONS
THURSDAY, JUNE 20, continued
{10:15 a.m.-12:15 p.m.}
Option 4 — Iowa's Living Roadways Community Visioning Program- ONLY FOR COMMUNITIES UNDER 10,000
You are invited to learn how the Community Visioning Program can help you come up with concepts to make the transportation infrastructure in your
community better serve the needs and desires of your residents. Through the visioning process, local leaders learn about residents' experiences,
concerns, and goals, which guide the decision -making process. We collaborate with professional designers to help you create designs that illustrate
the community's goals and identify potential funding sources to make those dreams a reality. Ninety-eight percent of visioning communities implement
at least one project, while nearly 50% complete four or more. Projects range from new sidewalks and trails to pedestrian- and cyclist -friendly
streetscapes and green infrastructure. Since 1996, the program has assisted more than 250 Iowa communities with populations under 10,000
throughout the state. (Sandra Oberbroeckling, ISU Community Visioning Program Project Manager, and panel of community representatives)
Option 5 — The Rest of the Story: Diving deeper into personality colors
Have you participated in a Colors workshop before? Did you want more and felt like you had just scratched the surface of this communication tool?
Attend this workshop to learn the rest of the "Colors" story! In this highly interactive workshop, participants will start where we last left off with
understanding your own personality color. We will begin by sorting into your primary color and have deeper discussions about your temperament
style, what activates your imagination, what are some primary frustration points within your color, and what you need from other colors to help find
resolution. We will also discuss how your color provides empowerment to others in helping them resolve conflict and work through common problems.
You will also have the opportunity to take on the persona of a different color and experience the mindset of a temperament other than your primary
color. Through an "other color" lens, you will build strengths in empathy and diverse perspectives.
Prerequisite: Participants will ideally have taken a Colors personality workshop previously in their careers, as this workshop builds on the foundational
knowledge learned in the basic Colors class. We will review the Colors in the beginning of class, so participants should come prepared to discuss their
primary, secondary, and lowest colors. (Krisdeena Jansen, GLUTRECK)
Option 6 — TIF, Bonds, and Urban Renewal —Oh my!
This zany session, presented by crusty bond lawyers, will explore applications of tax increment financing and other related powers and processes
under Iowa's urban renewal law. Topical coverage will include establishment and amendment of urban renewal areas and plans, identification and
approval of urban renewal projects, and the fundamentals of TIF and TIF-eligible debt. All questions related to urban renewal and TIF will be fielded,
but reasonable answers are not guaranteed. (John Danos, Amy Bjork, and Erin Reagen; Dorsey & Whitney)
{1:00-3:00 p.m.}
Option 7 — Conflicts of Interest in Local Government. This session will focus on the dilemmas encountered when facing a potential conflict of interest and
approaches to managing conflicts that may arise in a local government environment. Topics will include conflicts of interest as defined per Iowa code, public
perception of conflicts and impact on local decision -making, review of cases and scenarios, proactive approaches to avoiding and managing conflicts of
interest, and model codes of conduct for local government officials. (Julie Robison, Assistant Director, Institute of Design Research and Outreach, ISU)
THURSDAY, JUNE 20, continued
{1:00-3:00 p.m.}
Option 8 — Human Trafficking. This session will provide
Myths vs. facts
Information about traffickers/pimps
Information about victims
general awareness training geared to discuss these topics:
• Challenges faced when confronting victims
• What to look for/signs of trafficking
• Actions to take
I will also show some videos related to victims and discuss a couple of cases in Iowa as well as experiences that some survivors have shared with me.
There is an emphasis in this training to make sure the audience understands that it can be anyone, anywhere who is a trafficker, victim, or John (Ray
Fielder, Office to Combat Human Trafficking)
Option 9 — Resources for Mental Health and Substance Use in Communities. In this panel session, local providers will delve into the connections
to help better understand mental health and substance -use resources, education, and advocacy. Participants will come away with an understanding
of how mental health and substance use impact individuals and communities, cis well cis best practices at the local level to assist with managing crises
within communities.(Julie Saxton, Ames Police Department, and panel)
{3:15-5:15 p.m.}
Option 10 — What Am I Missing? How to be a city clerk when I'm the only one here. Have you looked around at all the work that needed to be done
and wanted to ask for help, but you are the only one there? When you work in a one -person office, the items that fall to your responsibility seem like they
are never ending. In this interactive session, learn from a panel of office clerks who do it every day. Topics will include how to work when you are the only
one there and best practices for tasks that may come up. Participants will come away with some tips and tricks with some lively discussion and interaction.
(Cindy Kendall, CKendall Consulting, and panel)
Option 11 — Cybersecurity and Infrastructure in Iowa. The Cybersecurity and Infrastructure Security Agency (CISA) is the Nation's Risk Advisor. Our job here
in Iowa is to help individuals and organizations improve their resilience to cyber-attacks. In this presentation, I will introduce CISA and give an overview of
today's cyber threats and what we can do to help you stay safe. I'll describe the assessments, technical services, and training we provide to cities, counties, and
organization of all sizes. Everything we offer is no -cost, voluntary, and non -regulatory, so come and see what we can do for you. (Jim Hoflen, Cybersecurity
Department of Homeland Security)
Option 12 — Neighborhood Services and Code Compliance Options. This presentation will provide an overview of the several different code enforcement
programs provided by the City of Des Moines' Neighborhood Services Department and how they are used to improve and maintain the quality of life for
neighborhoods and their effectiveness for the City of Des Moines. Enforcement programs discussed during this presentation include the following: junk and debris,
rental inspections, blighted property demolition, property improvement assistance, vacant property registry, property maintenance code, zoning, and land use.
(City of Des Moines Neighborhood Services Department)
COURSE DESCRIPTIONS
FRIDAY JUNE 21
{8:00-10:00 a.m.}
Questions, Discussions, and Updates. The session will involve updates on recently passed
legislation or other current issues affecting Iowa's city governments. This is an interactive
session with Iowa League of Cities staff and will also discuss questions supplied by the
participants either prior to or during the session. (Representatives from the Iowa League of
Cities)
{10:15-12:15 p.m.}
NO ONE COMMUNICATES AROUND HERE! We've all heard how important communication
is but we don't always practice it. Being an effective communicator can dramatically increase
your success and the success of your company.
Session highlights include:
• Why good communication is so important, why we don't practice it, and how to make
it a habit
• How to communicate clearly and concisely to be heard
• Communication runs both ways: How to be a good listener for life!
(Ronee Andersen)
Sweatshirts are available for purchase and
proceeds go toward scholarships for attendees
of the Municipal Professionals Institute. If you
wish to purchase a shirt, it must be done in
advance while registering online —the deadline
is May 31. The 2024 Academy is offering a
sage blue hoodie with a left chest logo in
orange for $32 ($34 for sizes XXL—XXXXL).
IOWA STATE UNIVERSITY,
Extension and Outreach
Community and Economic Development
This institution is an equal opportunity
provider. For the full non-discrimination
statement or accommodation inquiries, go to
www.extension.iastate.edu/diversity/ext.
Register Online at
www.extension.iastate.edu/communities/municipal-professionals-academy
Registration
Online pre -registration is required by June 7,
2024. The fee is $200 for the entire
program and includes lunch on Thursday.
Registrations after June 7 are subject to a
$10 late fee. Fees must be paid before the
session begins, with full refund guaranteed on
registrations canceled before June 1 2, 2024.
Online registrations will receive an e-mail
confirmation. Payment can be made with a
credit card at the time of registration or by
check, which should be made payable and
sent to:
Registration Services
21 21 State Avenue
Ames, IA 50011
Directions & Housing
Gateway Hotel and Conference Center
2100 Green Hills Drive
Ames, IA 50014
Make your room reservations directly with
Gateway at 1-800-FOR-AMES or
515-292-8600, which is providing a special
rate of $131 for a single or double (plus
1 2% tax).
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 2243258501346
FY 24 BUDGETED 10,000
EXPENDED YTD 6031.39
THI5 REQUE5T 2.660.00
LEFT AFTER THIS
REQUEST 3371.39
DATE 3/29/24
Ori.inal - Clerk/Finance Co. - 1ae.artrnent
NAME(S) AND POSITIONS):
Angie Fordyce, Tracey Southall, Jon Martin
Lontavious Jordan
DATE: 4/29/24-5/2/2024
NAME OF CLASS / MEETING:
NEPA Training for HUD Practitioners
DEPARTURE DATE:
4/29/24
DESTINATION: Kansas City, MO
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
April 30th-May 2nd, 2024
RETURN DATE:
5/2/24
PURPOSE OF TRAVEL/TRAINING:
Free training teaches the practical application of HUD requirments that implement the National
Environment Policy Act (NEPA) and compliance with HUD's part 58 regulations and the related 58.5
laws and authorities for HUD assisted projects.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x
COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE
AIRFARE DEPARTING FROM: Waterloo, IA
PRIVATE VEHICLE
ESTIMATE OF COST:
1440 LODGING
1120 MEALS 100
0 REGISTRATION
MILEAGE/FUEL
TOTAL FOR ALL: $ 2660
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 224-32-5850 1346
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 665
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OE -WATERLOO
C
DEPARTUEN HEAD
DATE
K:1Shared Goodies\Forms\Travel Request Form
Date Approved by Finance Committee:
4/15/2024
DATE
DIGITALLY
SIGNED
City Clerk Use only 1
Finance cone 4/15/2024
Approval Date:
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Department to expend
$ 4736.62 plus est, shipping costs of $ 0.00 to pay for or purchase
Chemtrol PC1500 Controller and Stenner 22gpd Low Press. Pump plus Installation.
This purchase or expenditure is being made because:
Required for Gates Spray Park chemical treatment and management.
Vendor selected for this purchase: ACCO Unlimited Corporation
Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
ACCO is the chemical supply company for Byrnes Pool, Sportsplex Pool, and Gates
Spray Park. Parts and services will be easily accessible in the event of repairs. Will make
management and oversight of all pool controllers more manageable for CPO.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
l )
General Fund
Bonds
Road Use Tax ❑ Sewer
LI
nFederal/other grants I)C.1 Other (specify)
Sanitation
This expenditure is to be coded to the following budget line -item:
426-37-4202-2106 37IMP.GATEBYRN
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
submitted
T "r Nme slcNr 4/15/2024
(Signature Dept. I-i or Designee) Date (Signature Finance Dept, Review) Date
K,lshared goodieslforms\Expenditure Pre-Authorization.xts (Mar 2010)
'Pb
105 NW Joh
,.r)I ins! r. i 1 5()
V t , i ^ r�gUl 11 tecl i,or l
Sales Representative: Russ Martin
HILL TO:
Waterloo Leisure Services
2024 - Gates Pool
Name: Brianne Boss
Phone:
Phone: 515 650-0200
SHIP TO:
Waterloo Leisure Services
2024 - Gates Pool
Email:
Quote Date:
DESCRIPTION
QTY.
UNIT
PRICE
TOTAL
4510 1500 Chemtrol PC 1500 Controller
1
$2,999.00
$2,999.00
w/Probes
3040-45M3 Stenner 22gpd Low Press Pump
2
1
$693.81
$1,387.62
Controller Installation
$350.00
$350.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Freight charges are estimated and may be subject to change at the time of shipment. Freight, Sales Taxes,
and Installation are additional. Terms: Net 30. Quote Is good for 30 days from the Quote Date above.
Signature:
To accept this quote, sign and date, and send by fax or email.
TOTAL:
$4,736.62
Russ Martin
Sales Representative
rmartin@accounlimited.com
Date:
City Clerk Use Only
Finance Committee
Approval Dale _ 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
3693.00 plus est, shipping costs of $ 334.87 to pay for or purchase
new field sweep groomer/level/trash sweeper for field turf at the SportsPiex
This purchase or expenditure is being made because:
with the purchase of the new turf, this will pick up trash and debris off the turf, level out Infill
material, and groom the turf to keep it in good playable condition.
Vendor selected for this purchase:
FieldTurf, Inc. (Montreal, Quebec)
1i Bids or written quotes were taken on this purchase, as follows:
1�1
Bids or quotes were not taken on this purchase because:
FieldTurf was the company that the field turf was purchased from and their sweeper/groomer
is recommended to be used on their product.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
r General Fund
EBonds
nRoad Use Tax
Sewer
1-1
Federal/other grans 0 Other (specify)
This expenditure is to be coded to the following budget line -item:.
010-37-4180-1567 Recreational Equipment & Supplies
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
ectf �r�mit
(Signature Dept. Hea
Sanitation
(Project Code)
$ 26,500.00
$ 17,530.63
d
Ll 3 `/
`
r Designee) Date (Signature Finance Dept. Review)
DIGITALLY
SIGNED
4/15/2024
Date
K:tshared goodiestforrns\Expendilure Pre-Authorizalion.xls (Mar 2010)
A Tarkett Sports Company
Customer
Name Cedar Valley Sponselex
Address 300 Jefferson St
City Waterloo State: IA.
Tel#: (319)291-0165
Email:
FieldTurf Inc.
7445 Cote-de-Liesse Road, Suite 200
Montreal, Quebec
H4T 1G2
Tel: (514) 340-9311
Fax (514) 340-9374
Contact: Craig Donner
Zip, 50701
f ltia tibitil
Invoice Number
2524
Quotation
Date 2/19/2024
Ref:
Rep. Luke Holbert
PO#
Qty
Units
Description
Unit Price
TOTAL
1
1
1
1
$3,693.00
$334.87
$3,693,00
$334.87
FieldSweep
Frieght
**Applicable Taxes Not Included**
FleldTurf
Pen
USA, e ..G:yy Gl2C rT4leC/GL*
Subtotal
TOTAL
$ 4,027.87
' 4,027.87
Luke Heiberg
Field Service After Sales Associate
E: luke. holbert@fi e ldturf, com
READ, AGREED, AND ACCEPTED BY ADDRESSEE
Signature:
Print Name:
;Af rt-�1Arn1E P_
Signature•
Print Name:
Date: ?-
PO #: 2t`
AMOUNTS IN: O Uso-
❑ CND
Your prompt payment of the balance due would be greatly appreciated
_. — City Clerk Use Only
Finance Committefl5/2024
Approval Date
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure
$ 5,460.00 plus est. shipping costs of $ 1,413.27
Bahia chaise lounge pool deck chairs.
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Existing lounge deck chairs at Byrnes Poo( are in poor condition and/or broken beyond repair.
Part of Byrnes reno project.
Vendor selected for this purchase:
C
Kiefer Aquatics
Bids or written quotes were taken on this purchase, as follows:
Kiefer Aquatics: $6, 873.27
Leslie's Pools: $7147,53
Central Restaurant Products: $9535.29
0 Bids or quotes were not taken on this purchase because:
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
u General Fund
t1l Bonds
Road Use Tax Sewer ❑ Sanitation
Federal/other grants I I Other (specify)
This expenditure is to be coded to the following budget line -item:
426-37-4202-2123 371MP.GATEBYRN
(Fund - Department - Activity - Account Number)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
(Signature Dept. Head,oraesignee)
(Project Code)
1/\
„ W T, ° N iep mcirauv
Date (Signature Finance Dept. Review)�Date
K:Ishared goodiesiforms1Expendtture Pre-Authorization,xts (Mar 2010)
4/15/2024
MADONNA WELSH
From:
Sent:
To:
Cc:
Subject:
Attachments:
Hi Madonna,
Brianne Boss
Monday, April 1, 2024 12:13 PM
MADONNA WELSH
PAUL HUTING
Preauth - Byrnes Pool Project
3798 001.pdf
Please see attached preauth for purchase of deck chairs for Byrnes Pool. I am only purchasing the chairs (plus freight to
ship chairs) out of the project budget. The remaining items are to be purchased out of my pool budget. I need to
purchase everything at the same time to avoid additional freight. Will the attached documents suffice?
Thanks!
Bri Boss
Aquatics & Safety Services Specialist
Cedar Valley SportsPlex
300 Jefferson Street
CITY OF WATERLOO
0: 319-291-0165
CVSportsPlex.org
From: Sportsplex_copier <Sportsplex_copier@WATERLOO-IA.ORG>
Sent: Monday, April 01, 2024 12:31 PM
To: Brianne Boss <Brianne.Boss@WATERLOO-IA.ORG>
Subject: Attached Image
‘;14Ciefer Kiefer Aquatics
AQUATICS The Lifeguard Store
(pi IIf !FUR() 903 Morrissey Drive
Bloomington, IL 61701
P (309) 451-5858
F (309) 451-5959
BILL TO
City of Waterloo
1101 Campbell Ave
Waterloo, IA 50701
FEDE)(_.GROUND
Page 1/1
Quote
,ATE;Customs
03/20/2024
KC310479
EST116939
1111111011111111111
City of Waterloo
Waterloo Leisure Services
1101 Campbell Ave
Attn: Bri Boss
WATERLOO, IA 50701
1111111111111
TEM
RESCR PTION'J
QUANTITY PRICE EACH
TOTAL
4017LW
631004
112R
600707E
600709BL
4
S09BU
702-40
45211
11
i C'lia
auittitfes or 6 H44031 fli
ild Item is being shipped directly from dte manufactures. MSt drop sl
rhe`delaY
II:Ft R FISH LEARN TO SWIM BELT
F
tilt
Ur Rescue Tube Color: Red
le
er Training Kickboard Color: Black
fer
it
unior Training Kickboard Color: Blue
In lhiit Disposable Resuscitator (BVM)
n
I Heavy Duty Aluminium Frame Leaf Skimmer
10" Rescue Tube Jacket Color: Red
toilril Adult Bag Valve Mask
tems ave withi
1
15
0
5
1 E-2 UROPSI Ill': Equipment Totemaster 36' L X 24" W X 36" H 1
This Item is being shipped directly from the manufacturer. Most drop ship temsarrive within
for the delay.
$9.00
$40.48
$10,00
$9.00
$13.50
$10.00
$17.02
$19.00
$260.00
Obusiness days.
$135.00
$607.20
$60.00
$90.00
$13.50
$10.00
$255.30
$19.00
$260.00
Ne apologize
Subtotal
$6,910.00
Frelgh
,413.27
Discount
$0.00
Tax
Total
$0.00
$8,323.27
Join c
Po e
POOL CHEMICALS - :"EQIPME
HOT TUB & SPA
or
a Delivery
and 5'% ;n rz,
de A2sin Chaise Lo:
Nee d H
5.
Order Summary
Promo Code
Sh;pping.
Ste
c oro
earn ..p
;2$81847-4993
Re
haul
nSuppl
rashGg SlanitorCal Rum'ture ',Shelving&TraPspa
Canoe
quipmenl
Shopping Cart
Order summary
!tem _coal
Sh oEing-;50701;.
ates
Order Total
Do you have a coupon?
S5.040.00
.`:$4142.49
S-
$9,535.29
PROCEEDTOCHECKOUT
REQUEST A QUOTE
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Department to expend
$ me 3,500 plus est. shipping costs of $ to pay for or purchase
Approximately 75 tons of USGA approved top dressing sand for golf courses
This purchase or expenditure is being made because:
To maintain the quality of the greens at the three municipal golf courses.
Vendor selected for this purchase:
Wendling Quarries, Inc.d/b/a Reline Golf & Sports
[� Bids or written quotes were taken on this purchase, as follows:
Bids or quotes were not taken on this purchase because:
This is the only vendor in this region that can deliver material that meet
our specifications.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund
Bonds
El
Road Use Tax
Sewer ❑ Sanitation
Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4125-1537
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
Paul Huting 04/02/2024
$ 7,573.00
$ 7,573.00
/1,4,ett 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review) Date
Kashared goodieslrormslExpenditure Pre-AuthorizatIon.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Services Department to expend
$ me $8,502.00 plus est. shipping costs of $ to pay for or purchase
repair trip hazards with tree grates in the 300 block of West 4th st
This purchase or expenditure is being made because:
to reduce the possibilities of falls.
Vendor selected for this purchase: Matthias Landscaping Co. Waterloo IA
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Matthias Landscaping is able to mobilize and begin work after we have
approval.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
▪ General Fund IT Road Use Tax IT Sewer n Sanitation
. Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
421-37-4110 -2168
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 27,083.02
and the current available balance is
Respectfully submitted,
Paul Huting 04/08/2024
(Signature Dept. Head or Designee)
$ 27,083.02
T$ et McW SIGNED 4/15/2024
Date (Signature Finance Dept. Revie' Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
5/2024
Approval Date
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Leisure Department to expend
$ $4,475.00 plus est. shipping costs of $ 0.00 to pay for or purchase
ACCO Sweep Vac 110v w/accessories. Manual pool vacuum for Byrnes Pool.
This purchase or expenditure is being made because:
Required to maintain cleanliness of the pool. Old manual vacuum broke and deemed beyond repair
during Summer 2023 season.
Vendor selected for this purchase:
ACCO Unlimited Corporation
Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
ACCO is the chemical supply company for Byrnes Pool, Sportsplex Pool, and Gates
Spray Park. Parts and services will be easily accessible in the event of repairs. ACCO also
provides our chemical control system, installation, and service.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense.
nGeneral Fund n Road Use Tax n Sewer ❑ Sanitation
nBonds n Federal/other grants n Other (specify)
This expenditure is to be coded to the following budget line -item:
010-37-4200-1557
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
_ DIGITALLY
3 G; Ticlgett Naar, Sly 4/15/2024
(Signature Dept. l€ad"or Designee) Date (Signature Finance Dept. Review) Date
$ 7500.00
$ 6,930.52
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the MIS
$ 8,899.00 plus est. shipping costs of $ 0.00
Fortigate firewall license, support and maintenance.
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
This is yearly licensing, support and maintenance for our network firewall.
Vendor selected for this purchase: CDW-G
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
Pricing is done by Fortigate (hardware vendor) just passed through by CDW-G.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund IT Road Use Tax IT Sewer n Sanitation
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
323-01-8225 2106 / 010-01-8220 1520
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 145.000.00 / 103,416.00
and the current available balance is
$ 61,509.34 / 37,182.60
Respectfully submitted,
[r�uv
Chris Youngblut 4/3/2024 T� N SIoiCGNED 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Revie7t Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the
$ 3,000.00
plus est. shipping costs of
MIS
Department to expend
$ 0.00 to pay for or purchase
Hour blocks of support time (8 Hours) with Davenport Group - to be used generally for
Microsoft Office 365 implementation and network/server support.
This purchase or expenditure is being made because:
Davenport Group offers expertise in several areas which supplements our staff and the
ability to support us in Office 365 rollout and network/server areas as needed.
Vendor selected for this purchase:
Davenport Group
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Davenport Group has assisted us with several other projects and is very familiar with our
network/system layout.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
. General Fund IT Road Use Tax IT Sewer n Sanitation
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-01-8220 1319
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 20,000.00
and the current available balance is
$ 10,977.21
Respectfully submitted,
�j,(� �/ °tin
SIGNED 4/15/2024
Chris Youngblut 04/03/2024i� "cu��l
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Review, Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Police Department to expend
$ 9,693.08 plus est. shipping costs of $ N/A to pay for or purchase
Lexipol/Police One Training platform
This purchase or expenditure is being made because:
This expenditure is for department wide on line training through POlice One. Courses to be taken by
departmental staff include diversity, de escalation, officer intervention ect.
Vendor selected for this purchase: Lexipol/Police One
n Bids or written quotes were taken on this purchase, as follows:
n Bids or quotes were not taken on this purchase because:
Lexipol/Police One offers the most training per officer for the lowest cost. After
researching three different companies the department has decided to go with
them.
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
. General Fund IT Road Use Tax IT Sewer n Sanitation
ElBonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
010-11-1100-1391($5,000.00) 010-11-1100-1346 ($4,693.08)
(Fund - Department - Activity - Account Number)
(Project Code)
in which the budgeted amount is $ 6,500.00/120,000.00
and the current available balance is $ 5,064.11/55,333.00
Respectfully submitted,
�
Aaron P. McClelland, Police Captain 4/5/2024Thew SImloGNED 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Reviev., Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the
$ 67,500.00
Sewer (Trash Pumps)
plus est. shipping costs of $ 2,000.00
Multiquip 6"Trash Pump Trailer Mounted (2)
Department to expend
to pay for or purchase
This purchase or expenditure is being made because:
Back up for flood event preparedness
Vendor selected for this purchase:
Black Hawk Equipment
n Bids or written quotes were taken on this purchase, as follows:
IT Bids or quotes were not taken on this purchase because:
State Bid
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
▪ General Fund IT Road Use Tax n Sewer n Sanitation
❑ Bonds ❑ Federal/other grants ❑ Other (specify)
This expenditure is to be coded to the following budget line -item:
520-14-5200-2117
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
and the current available balance is
Respectfully submitted,
$ 750,000.00
$ 498,488.40
uq0 NSIGNED
IGNEi 4/15/2024
Jesse Gaherty 04/01/24 SIGNED
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Revie' Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Sewer (Truck) Department to expend
$ 128,900.00 plus est. shipping costs of $ N/A to pay for or purchase
new Water Truck
This purchase or expenditure is being made because:
a new Water Truck is needed
Vendor selected for this purchase:
United Rental
n Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
Sourcewell
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑ Road Use Tax n Sewer n Sanitation
0 Bonds ❑ Federal/other grants 0 Other (specify)
This expenditure is to be coded to the following budget line -item:
520-14-5200 2117
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ 750,000.00
and the current available balance is $ 498,488.40
Respectfully submitted,
Jesse Gaherty 032524 SIGNED 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Reviev,; Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Sewer (Trucks) Department to expend
$ 167,570.74 plus est. shipping costs of $ N/A to pay for or purchase
1 - 2024 Ford F450 and 1 - 2023 Ford F450 to replace work trucks #530026 and #530025.
This purchase or expenditure is being made because:
New Work Trucks Needed
Vendor selected for this purchase:
Karl Ford
n Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
State Bid
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑ Road Use Tax n Sewer n Sanitation
0 Bonds ❑ Federal/other grants 0 Other (specify)
This expenditure is to be coded to the following budget line -item:
520-14-5200 2117
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is
$ 750,000.00
and the current available balance is $ 498,488.40
Respectfully submitted,
Jesse Gaherty
0328T mcimuvSIGNED 4/15/2024
' ��
(Signature Dept. Head or Designee)
Date (Signature Finance Dept. Revie Date
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
City Clerk Use Only
Finance Committee
Approval Date 4/15/2024
City of Waterloo
Expenditure Pre -Authorization Request Form
The Finance Committee of the City Council is hereby requested to authorize the following
purchase or expenditure submitted by the Sewer (3 Trucks) Department to expend
$ 133,875.17 plus est. shipping costs of $ N/A to pay for or purchase
2 - 2024 Chevrolet Silverado 1500 Double Cab 4x4s and 1 - 2024 Chevrolet Silverado
1500 Crew Cab 4x4 to replace trucks 142E01, 140702, and 140703.
This purchase or expenditure is being made because:
New Work Trucks Needed
Vendor selected for this purchase:
Karl Auto
n Bids or written quotes were taken on this purchase, as follows:
0 Bids or quotes were not taken on this purchase because:
State Bid
Prior Committee Actions (Dates):
Please check the following box(es) as appropriate to describe the funding for this expense:
General Fund ❑ Road Use Tax n Sewer n Sanitation
0 Bonds ❑ Federal/other grants 0 Other (specify)
This expenditure is to be coded to the following budget line -item:
520-14-5200 2117
(Fund - Department - Activity - Account Number) (Project Code)
in which the budgeted amount is $ 750,000.00
and the current available balance is $ 498,488.40
Respectfully submitted,
Jesse Gaherty
03/28/24
(Signature Dept. Head or Designee)
DIGITALLY
SIGNED 4/15/2024
Date (Signature Finance Dept. Review Date
Tudyett ZO
K:\shared goodies\forms\Expenditure Pre-Authorization.xls (Mar 2010)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Police Department Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 11 1160 3873
Reimb for Services
1 PRO.JLEO2
13,236.93
010 11 1160 1114
Overtime
9,800.00
010 11 1160 1573 Safety & Protect equi
1PRO.JLEO2
3,436.93
TOTAL
$13,236.93
TOTAL
$13,236.93
This amendment is being requested because:
This is to conform with the City's budget line item control policy. See attached paper worked, additional funding for approved equipment
purchase and overtime worked in support of Operation Grand Slam
Prior Committee Actions (Dates):
L/q
// /1,4 v /� 7 l„ jJ`�� DIGITALLY
/,/w�!/,� (//� sly 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Ri ,:dw) Date
Date Posted (Finance Dept.)
K:luserslshared goodieslforms\Budget Amendment US Marshals Grand Slam Operation (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NC) —4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Leisure Services Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4105 3720
Donations
37RST.WDC
19,870.00
010 37 4105 2178
Sports Impr
37RST.WDC
19,870.00
TOTAL
This amendment is being requested because:
$19,870.00
TOTAL
$19,870.00
to budget funds that will be received from WDC to pay for the Vaporblast rusted areas and repaint awning of the
main entrance at the Cedar Valley SportsPlex. Should be completed when weather improves.
Preauth approved by Council 3/18/2024.
Prior Committee Actions (Dates):
Paul Huting 3/6/24
Z
(Signature Dept. Head or Designee) Date ( gnature Finance Dept. T (w) Date
DIGITALLY
SIGNED
4/15/2024
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Budget Amend 4180 (3).xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Leisure Services Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4120 3472
golf course Rev
66,100.00
010 37 4120 1537
Hoticulture
66,100.00
TOTAL
This amendment is being requested because:
$66,100.00
TOTAL
$66,100.00
to budget the revenue in excess of the budgeted amount that is expected in the golf budget. We were able to open in February with 70
degrees days. The good weather helped drive extra pass sales and play at the golf courses.
Prior Committee Actions (Dates):
Paul Huting 03/26/2024
TL , " �� SIG 4/15/2024
�� SIGNEG
(Signature Dept. Head or Designee) Date (Si ature Finance Dept. RL'
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Budget Amend 4120 (1).xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO-4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2023 submitted by the Leisure Services Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4105 3720
donations
37GFT.0008
7,000.00
010 37 4105 1567
rec equip
37GFT.0008
7,000.00
TOTAL
This amendment is being requested because:
$7,000.00
TOTAL
$7,000.00
$2,000 was originally budgeted. We have received $9,295.68 so far this fiscal year. This amendment will more accurately reflect the
funds actually received, and possible expenses related to the donation.
Prior Committee Actions (Dates):
Paul Huting 4/13/2023
DIGITALLY
SIGNED
(Signature Dept. Head or Designee) Date (Signature Finance Dept. R) Date
4/15/2024
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Amendment 37GFT.0008.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Building - Veterans Memorial Hall Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 22 8850 3000
cash on hand
5,000.00
010 22 8850 1561
office supplies
1,000.00
1390
other contractual
3,500.00
1371
Building & Grounds
500.00
TOTAL
This amendment is being requested because:
Prior Committee Actions (Dates):
5,000.00
TOTAL
5,000.00
Bridgett Wood T
(Signature Dept. Head or Designee) Date ( gnature Finance Dept. h. 7/7 .w) Date
DIGITALLY
SIGNED
4/15/2024
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO —4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 01 6650 3111
HMTTAX
01HMT.TX24
70,000.00
010 01 6650 1393
CONTRIBUTIONS
01HMT.TX24
70,000.00
010 01 6660 3111
HMTTAX
01HMT.DISC
35,000.00
010 01 6660 1393
CONTRIBUTIONS
01HMT.DISC
35,000.00
010 01 6920 3111
HMTTAX
01HMT.WCVB
175,000.00
010 01 6920 1393
CONTRIBUTIONS
01HMT.WCVB
175,000.00
010 22 6860 3111
HMT TAX
22FAC.5SUL
70,000.00
010 22 6860 1393
CONTRIBUTIONS
22FAC.5SUL
70,000.00
TOTAL
This amendment is being requested because:
350,000.00
Amend Hotel Motel budget to anticipated revenue
Prior Committee Actions (Dates):
TOTAL
350,000.00
Kim Bahr
(Signature Dept. Head or Designee)
p� SIGNED 4/15/2024
3/29/24 /� SIGNED
Date ( Ignature Finance Dept. t7tw) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO —4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Streets Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
266 19 7100 3494
Sale of Supplies
3,580.00
266 19 7100 1571
11,509.00
266 19 7100 3620
Rent & Prop Leases
7,000.00
266 19 7100 3800
Misc Rev
929.00
TOTAL
This amendment is being requested because:
11,509.00
TOTAL
11, 509.00
Anticipated revenue exceeded budget estimate - excess revenue to be used to purchase Wheeled
Excavator parts.
Prior Committee Actions (Dates):
Sheila Steffen 4/15/24 SIGNED 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. �w)
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO-4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Central Garage - Ambulance Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Cash on Hand
25,000.00
010 18 1411 1571
25,000.00
TOTAL
This amendment is being requested because:
To cover ambulance repairs.
Prior Committee Actions (Dates):
25,000.00
TOTAL
25,000.00
Sheila Steffen 4/15/24 Vwd /lc,, SIGNEDDIGITALLY
4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. FR. rtiN)
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval�required?
YES
If so, date app owed: �1 1 5/ZOZ4
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Central Garage Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Cash on Hand
46,000.00
010 18 7950 1571
Mach&EqulpRepacementParts
46,000.00
010 18 7950 3498
Sale of Equip
48,995.00
010 18 7950 1378
Other Equip Repair& Maint
7,000.00
010 18 7950 1555
Minor Equip & Supplies
12,000.00
01018 7950 1572
Tires
3,000.00
010 18 7950 1314
Health Services
500.00
010 18 7950 1319
Other Prof Svcs
600.00
010 18 7950 1571
24,895.00
010 18 7950 1573
Safety & Protective Equip
1,000.00
TOTAL
This amendment is being requested because:
94,995.00
To cover machinery and equipment repairs.
Prior Committee Actions (Dates):
TOTAL
94,995.00
Sheila Steffen
(Signature Dept. Head or Designee)
4/15/24 �, °sicNED 4/15/2024
Date ( (nature Finance Dept. h 7t,w) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
City of Waterloo
Line -Item Budget Amendment Request Form
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Library
Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 33 3150 3361
ILL reimbursement
2,513.00
010 33 3150 1583
e-materials
2,513.00
TOTAL
reimbursment more than originally budgeted
$2,513.00
TOTAL
$2,513.00
Prior Committee Actions (Dates):
Tu4ett NacWeitsicNEo 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. ReviE' Date
Date Posted (Finance Dept.)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO
If so, date approve4/ 15/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the Library Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 33 3160 3720 '
Donations
33GFT.YOUTH
37,500.0D
010 33 3160 1382
Building Impr
33GFT.YOUTH
37,500.00
TOTAL
This amendment is being requested because:
37,500.00
TOTAL
Record donations received through the year for the youth area improvement project.
Prior Committee Actions (Dates):
37,500.00
3 % 5j1 7 q-- T a Nc 4/15/2024
(Signature Dep011/111114,-)
ead or Designee) Date (Signature Finance Dept. Rev,Date
Date Posted (Finance Dept.)
Kluserslshared goodleslforms1Copy of Budget Amendment Request Form (Apr 2fl03)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Traffic Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
266 17 7120 3494
Sale of Supplies
8,630.00
266 17 7120 1319
Other Prof Svcs
30,000.00
266 17 7120 3502
Sale of Junk
362.00
266 17 7120 1344
Telephone & Fax Expense
10,000.00
266 17 7120 3722
Refunds
446.00
266 17 7120 1522
Light Bulbs & Lamps
15,000.00
266 17 7120 3871
Damage Claims
198,415.00
266 17 7120 1547
Oil and Greases
1,000.00
266 17 7120 3877
Labor & Materials Reimb
4,249.00
266 17 7120 1555
Minor Equip & Supplies
2,000.00
266 17 7120 1569
Vehicle Replacement Parts
2,000.00
266 17 7120 1571
Mach &Equip Replacemen Parts
2,000.00
266 17 7120 1572
Tires
2,000.00
266 17 7120 1573
Safety & Protective Equip
10,102.00
266 17 7120 1576
Traffic Signal Parts
20,000.00
266 17 7120 1577
50,000.00
266 17 7120 1527
Utility Poles
68,000.00
TOTAL
This amendment is being requested because:
212,102.00
TOTAL
212,102.00
Outstanding damage claim invoices processed. Funds to be used for sign blanks, tubing, utility poles and
traffic signal bulbs.
Prior Committee Actions (Dates):
Sheila Steffen 4/15/24 ,ett DIGITAL
SIGNEDYD 4/15/2024
SIGNE
(Signature Dept. Head or Designee) Date ( ignature Finance Dept.�w) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the Fire Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 12 1415 3831
Registration Fee
_
45,000.00
010 12 1400 2117
Motor Vehicles & Equip
45,000.00
TOTAL
This amendment is being requested because:
45,000.00
TOTAL
45,000.00
The number of classes conducted by our Hazmat Training Center has increased significantly in the past
year, which has resulted in an increase in revenue as well. We anticipate being at least $70,000 over our
revenue goal. By moving these funds we will be able to purchase a new vehicle for our Fire Marshal,
replacing a City vehicle that is over 11 years old and in dire need for replacement.
Prior Committee Actions (Dates):
Bill Beck
(Signature Dept. Head or Designee)
4/2/24 DIGITALLY
SIGNED 4/15/2024
Date (Signature Finance Dept. R�) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Engineering Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
520 07 7830 3113
Sales Tax Collected
_
30,000.00
521 07 7830 1398
sales tax
30,000.00
TOTAL
This amendment is being requested because:
comply with city's line item policy.
Prior Committee Actions (Dates):
30,000.00
TOTAL
30,000.00
Jamie Knutson
(Signature Dept. Head or Designee)
3/26/24 SIGNED
4/15/2024
SIGNED
Date (S nature Finance Dept. h ir,r) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO —4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Culture & Arts Department Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 26 4208 3833
Special Event Fee
3,700.00
010 26 4208 1112
Part Time Payroll
2,700.00
010 26 4208 3832
Admissions
1,000.00
010 26 4208 1351
Advertising
2,000.00
010 26 4208 3873
Reimb. for Service
1,000.00
010 26 4208 1524
WRKSP&CLASS SUPPLIES
1,000.00
TOTAL
This amendment is being requested because:
5,700.00
TOTAL
5,700.00
To support increase support for additional part-time staff, workshop class & event supplies along with
additional support for advertising youth activities at the Phelps Youth Pavilion.
Prior Committee Actions (Dates):
Chawne Paige 4/2/24
(Signature Dept. Head or Designee) Date
DIGITALLY
SIGNEDDNED 4/15/2024
(Si nature Finance Dept. R ) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
525 15 5400 3000
CASH
7,836.00
525 15 5402 1410
SERVICE FROM PARKS
7,836.00
TOTAL
This amendment is being requested because:
7,836.00
To budget for additional department charge backs for leisure from sanitation
Prior Committee Actions (Dates):
TOTAL
7,836.00
Bridgett Wood
(Signature Dept. Head or Designee)
4/4/24 DIGITALLY
SIGNED 4/15/2024
SIGNED
Date (S nature Finance Dept. hK7u) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO-4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 03 8950 3625
INSURANCE REFUND
_
1,950,000.00
010 03 8950 1360
STOP LOSS
1,450,000.00
010 03 8950 3628
RETIREE CONTRIBUTIONS
50,000.00
010 03 8950 1390
OTHER CONTR
2,500.00
010 03 8950 1319
OTHER PROF
47,217.00
010 03 8950 1368
MEDICAL CLAIMS
500,000.00
010 03 8950 1395
FEES
283.00
TOTAL
This amendment is being requested because:
2,000,000.(
Amend health insurance activity to more actual
Prior Committee Actions (Dates):
TOTAL
2,000,000.0
BRIDGETT WOOD
4/4/24 SIGNED 4/15/2024
(Signature Dept. Head or Designee) Date
(S gnature Finance Dept. h 7 0v) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NC) —4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
426 03 6105 3354
shared program
1,000,000.00
426 03 6105 2158
backbone
1,000,000.00
426 22 6860 3720
donations
468,041.00
426 22 6860 2152
bldg impr
468,041.00
426 37 4105 3720
donations
380,000.00
426 37 4105 2168
park impr
380,000.00
426 08 6280 3000
cash
1,500,000.00
426 08 6280 2168
park impr
1,500,000.00
426 40 7810 3354
shared program
5,000,000.00
426 40 7810 2158
backbone
4,000,000.00
426 40 7810 2103
engineering
1,000,000.00
TOTAL
This amendment is being requested because:
8,348,041.(
Recognize donations and deposits received but not budgeted
Prior Committee Actions (Dates):
TOTAL
8,348,041.0
Bridgett Wood 4/4/24 T
(Signature Dept. Head or Designee) Date ( ignature Finance Dept.�w) Date
SIGNED 4/15/2024
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO
If so, date app owed: `+/ 1 5/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 03 8400 3459
KILL WATER ASSESS
_
60,000.00
010 03 8400 1710
CONTINGENCY
60,000.00
010 03 8400 3110
BANK CR UNION FEE
328,473.00
010 03 8400 1313
LEGAL
50,000.00
010 03 8400 1317
AUDIT
25,500.00
010 03 8400 1344
TELEPHONE
250.00
010 03 8400 1319
OTHER PROF
252,723.00
TOTAL
This amendment is being requested because:
388,473.00
To recognize increased revenue and cover over budget lines
Prior Committee Actions (Dates):
TOTAL
388,473.00
BRIDGETT WOOD 4/4/24
(Signature Dept. Head or Designee) Date
(
DIGITALLY
SIGNED
4/15/2024
gnature Finance Dept. h. -T7w) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the FINANCE Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
100 03 8980 3000
CASH
308,090.00
100 03 9050 2700
TRANSFERS
308,090.00
291 29 7765 6050
REV TRANSFERS
308,090.00
291 29 7765 2169
AIRPORT IMPR
308,090.00
TOTAL
This amendment is being requested because:
616,180.00
Transfer funds previously deposited to the Debt Service fund in error
Prior Committee Actions (Dates):
TOTAL
616,180.00
BRIDGETT WOOD
(Signature Dept. Head or Designee)
p�� Z , /� DIGITALLY
4/4/24 2(G� �JCiQGt SIGNED 4/15/2024
Date (Signature Finance Dept. Rt. w)
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date approved: 4/15/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Engineering Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
205 07 7500 3112
Local Option Sales Tax
400,000.00
205 07 7500 2159
Railroads
400,000.00
205 07 7500 3112
Local Option Sales Tax
500,000.00
205 07 7500 2173
Water Line Construction
500,000.00
205 07 7500 3614
Interest
5,000.00
205 07 7830 1313
Legal Fees
5,000.00
TOTAL
This amendment is being requested because:
to comply with line item policy.
Prior Committee Actions (Dates):
905,000.00
TOTAL
905,000.00
Jamie Knutson 3/26/24 6e f Z DIGITALLY i 4/15/2024
SIGNED `
(Signature Dept. Head or Designee) Date (S nature Finance Dept. F. r) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date app owed: �1 1 5/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 06/30/2024 submitted by the Housing Authority Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
283 13 5452 3614
Interest
10,000.00
283 13 5452 1346
Travel
10,000.00
TOTAL
10,000.00
TOTAL
10,000.00
This amendment is being requested because:
To recognize revenue received over what was budgeted and use funds for additional training. HUD
requires us to change from HQS Inspection process to new INSPIRE Inspection process. All housing
authority staff needs to get certified in new inspection training. New Exective Director has monthly meeting
that will requires travel that was not in budget.
Prior Committee Actions (Dates):
LeKeisha Veasley 4/3/24 (j4e °si�'rvEn 4/15/2024
(Signature Dept. Head or Designee) Date (S nature Finance Dept. F. ✓) Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO
If so, date approved: `+/ 1 5/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Sanitation Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
525 15 5400 3614
Interest - savings Acct
102,490.00
525 15 5400 1571
30,000.00
52515 5400 1572
Tires
40,000.00
525 15 5400 1596
Refuse/Yard Waste Containers
32,490.00
TOTAL
This amendment is being requested because:
102,490.00
TOTAL
102,490.00
Funds for additional refuse and yard waste containers, machinery and equipment replacement parts, and
tires.
Prior Committee Actions (Dates):
Sheila Steffen
4/15/24 ? °SIGNED01:11 4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Re
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Project Name
City Contract No.
Project Manager
Project Budget Total
PROJECT BUDGET WORKSHEET - ALL PROJECTS
PAGE ONE
Healthy Homes Production Grant
IAHHP0131-24
Jon Martin / Tracey Southall
$ 1,999,991.00
1. How will this project be funded?
A. Federal Grant Yes X No
To be assigned by the Finance Dept.
Project No.
Subproject No
32HHP24
CFDA # 14.913 % Paid by federal grant
Grant Name Healthy Homes Production Grant
B. State Grant
Grant Name
C. City Match
D. Other Entities
Name
Yes I No
Source of Funding CDBG
Yes No
Grant Agreement Number
% Paid by state grant
Grant Agreement Number
% Paid by City
% Paid by other entity
2. Attach copies of any grant agreements that will fund the project (REQUIRED)
3. Does the project include the purchase of right of way or other real property?
If yes, will real property purchases be reimbursable under the grant?
If yes, have you attached authorization to purchase real property to this document?
4. Will this project include any non -participating expenses, such as:
A. Stormwater permit fees
B. Publication, or printing costs
C. Others, list
5. Does this project cover any regular full-time salaries or benefits?
If yes, employee/position to be covered. Community Development
6. Include a brief description of the project in the space below: (REQUIRED)
The Healthy Homes Production Grant will be used to remediate health and safety hazards in the home.
100.00%
Done None
X
n
Yes No
ri
X
X
X
Xj
Page 2 must be attached and signed.
K:\shared goodies\forms\Project Budget Worksheet.xls\Page 1 All Projects (Mar 2010)
PROJECT BUDGET WORKSHEET- NON -CONSTRUCTION
PAGE TWO
Project Name (from page one)
Healthy Homes Production Grant
Department No. project will be budgeted under 32
Activity No. project will be budgeted under 5840
REVENUES:
3000 Cash on Hand
3350 Federal Grant
3352 Federal HUD Grant
3354 Shared Program - Local
3357 Shared Program - County
3358 Shared Program - City
3360 Shared Program - State
3361 State Grant
3720 Donations - Restricted
3750 Sale of Bonds
EXPENDITURES:
224
City Clerk Use Only
Finance Committee
4/15/2024
Approval Date
To be assigned by the Finance Dept.
Project No. 32HHP24
Subproject No.
(Each column should only include amounts by fund)
1,999,991.00
TOTALS $1,999,991.00
1111 Salaries - Regular
1121 FICA
1122 IPERS
1131 Health Insurance
1315 Education and Training
1327 Rehabilitation
1346 Travel- Professisonal Train
1343 Postage and Mailing
1351 Advertsing Expense
1378 Other Equipment Repair
1390 Other Contractual Servcies
1391 Dues and Memberships
1561 Office Supplies
TOTALS
(Signature Dept. ead)
359,850.40
25,000.00
45,000.00
91, 932.68
31,500.00
1,163,973.00
41,300.00
2,200.00
3,694.92
13, 700.00
217,500.00
3,540.00
800.00
Fund:
$1,999,991.00 $
ys�di
Date
Fund: Fund:
Total
1,999,991.00
$ $1,999,991.00
$ 359,850.40
25,000.00
45,000.00
91,932.68
31,500.00
1,163,973.00
41,300.00
2,200.00
3,694.92
13, 700.00
217,500.00
3,540.00
800.00
$ $ - $1,999,991.00
T , �ps� NO -ad DIGITALLY SIGNED 4/15/2024
(Signature Finance Dept. Revieih, Date
K:Ishared goodieslforms\Project Budget Worksheet.xls\Page 2 (Donat or NON-constr) (Mar 2010)
Assistance Award/Amendment
U.S. Department of Housing and
Urban Development
Office of Administration
1. Assistance Instrument
Cooperative Agreement
Grant
2. Type of Action
►� Award n Amendment
3. Instrument Number
IAHHP0131-24
4. Amendment Number
S. Effective Dale of this Action
See Block #20
6. Control Number
7. Name and Address of Recipient
City of Waterloo
620 Mulberry Street
Waterloo, IA 50703
10. Recipient Project Manager
8. HUD Administering Office
HUD, Office of Lead Hazard Control and Healthy Homes
451 Seventh Street, SW
Room 8236
Washington, DC 20410
8a. Name of Administrator
Chebria Trimble
11. Assistance Arrangement
® Cost Reimbursement
❑ Cost Sharing
❑ Fixed Price
12. Payment Method
• Treasury Check Reirnbursement
• Advance Check
►� Automated Clearinghouse
8b. Telephone Number
Chebria.Trimble(rJ,hud.gov
9. HUD Government Technical Representative
Damian Slater; damian.l.slaughter(r4, md.gov
13. HUD Payment Office
U.S. Dept. of HUD
CFO Accounting Center, 6AF
801 Cherry St., Unit #45 Ste. 2500
Fort Worth, TX 76102
14. Assistance Amount
Previous HUD Amount
$0.00
HUD Amount this action
$1,999,991.00
Total HUD Amount
Recipient Amount
Total Instrument Amount
16. Description
Employer Identification: 42-6005327 UE • QFUU V78Q TDN3
This instrument sets forth the agreement between the parties as to all terms and conditions and provisions herein. By signing this award
document, the Grantee certifies that it is in compliance with all administrative and financial provisions of this award. This grant instrument
consists of the following, some of which are incorporated by reference:
1. Cover Page, HUD 1044
2. FY 2023 Terms and Conditions
3. Statement of Work/Work Plan/Benchmark Standards
4. Grantee's financial and technical proposal
5. Mutually agreed and negotiated proposal changes
6. Abstract of grant activities
7. Lead Hazard Control Program Policy Guidance Issuances "PGI-2015-01- Clarification of Costs for LHRD and LBPHC Grant Programs"
8. TITLE 2: GRANTS AND AGREEMENTS - PART 200-UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES AND
AUDIT REQUIREMENTS FOR FEDERAL AWARDS Imps://www.ecfnnovicurrent/title-2/nart-200
9. Notice of Grant Opportunity announced in GRANTS.GOV FR-6700-N-44 Posted date: 11/07/23
$1,999,991.00
$0.00
15. HUD Accounting and Appropriation Data
8623/250174 23LRI-IH/LRHHI - $ 1,999,991.00
Amount Previously Obligated
Obligation by this action
15b. Reservation number
HHP-08
$0.00
$1,999,991.00
$1,999,991.00
$1,999,99400
Total Obligation
Period of Performance: April 15, 2024 to October 15, 2027 months - 42 months
Program: HH1
17. Lf Recipient is re
h s-docu#r(ni to
19. Recipient (By
and return three (3) copies
Administering Office
Signature &Title Li.iLM i>10F1T1
K� I, P'3 t' (y\ 3 RAJA -AM itr St(
ti)ip
Date (mm/dd/yyyy)
114
18.
•
Recipient is not required to sign this document.
20. HUD (By Name)
Valerie Holzherr, Grant Officer
Signature & Title
VALERIE
HOLZHER
Date (min/dd/yyyy)
form HUD-I044 (8/90)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES- NO 4/15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 6/30/2024 submitted by the Community Development Department Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
224 32 5850 3350
Federal Grants
131,900.00
224 32 5850 1113
Longevity
BG21A.ADMN
200.00
224 32 5850 1123
Life & Disability
BG21A.ADMI\
700.00
224 32 5850 1130iployee
ReimbursemBG21A.ADMh
1,000.00
224 32 5850 1346
Travel and Prof
BG2IA.ADMh
4,000,00
224 32 5850 1379
Interim Assistance
BG14Z
30,000.00
224 32 5850 1396
Property Demolition
BG14
55,000.00
224 32 5850 1561
Office Supplies
r3G21A.ADMI
1,000.00
224 32 5850 2151
Building Constructior
BG
40,000.00
TOTAL
This amendment is being requested because:
Grant funds to cover the expected expenes.
$131,900.00
TOTAL
$131,900.00
Prior Committee Actions (Dates):
4/4/2024
(Sign .;Qi e D- -t. Head or Design
y - 5-
ay Tv Ncto,
DIGITALLY
4/15/2024
Date (Signature Finance Dept. It." .:w) Date
Date Posted (Finance Dept.)
Kauserslshared goodieslforms14-4-24 5850 Budget Increase.xls (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES
If so, date approvOed: `1./1 5/2024
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 24 submitted by the Fire Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 12 1415 3831
Registration Fee
_
10,000.00
010 12 1400 2128
Safety Equipment
10,000.00
TOTAL
This amendment is being requested because:
10,000.00
TOTAL
10,000.00
We project being over our Registration Fee revenue line by at least $70,000 for FY24. This budget
amendment will allow us to purchase two (2) Infrared Saunas for our Firefighters. This is an effective and
efficient way for Firefighters to detoxify after being exposed to fires and/or other harmful chemicals,
amongst many other health benefits.
Prior Committee Actions (Dates):
Bill Beck 4/5/24
DIGITALLY
SIGNED
4/15/2024
(Signature Dept. Head or Designee) Date (Signature Finance Dept. Re.:c..)
Date
Date Posted (Finance Dept.)
K:\users\shared goodies\forms\Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO 4/15/2024
IF so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Leisure Services Department Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4500 3481
Concession Rev
100,000,00
010 37 4500 1112
Salaries Part -Time
40,000.00
1553
March For Resale
25,000.00
1541
Janitorial
6,000.00
1400
Utilities
23,000.00
1504
Credit Cards
6,000.00
1114
Time & Half
1,000.00
TOTAL
This amendment is being requested because:
100,000.00
TOTAL
100,000.00
Amendments are being made to fix line item overages as well as preparing for anticipated expenses and
revenues thru June 30, 2024
Prior Committee Actions (Dates):
(Signature gt p - ead or Designee)
Date
MO/°SIGNED 4/15/2024
(S nature Finance Dept. 1-.7 P.r)
Date
Date Posted (Finance Dept.)
IC:luserslshared goodieslforms4Copy of Budget Amendment Request Form (Apr 2003)
Completed forms should be routed directly to the Finance Dept.
FINANCE DEPT. ONLY
Finance Committee approval required?
YES NO — 1/ 15/2024
If so, date approved:
City of Waterloo
Line -Item Budget Amendment Request Form
The Finance Committee of the City Council and/or Finance Dept. is hereby requested to authorize the following line -item budget
amendment for FYE 2024 submitted by the Leisure Services Department Department:
EXPENSES/REVENUE
DECREASE EXPENDITURES (INCREASE REVENUE)
INCREASE EXPENDITURES (DECREASE REVENUE)
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
Fund Dept Activity Acct #
Acct Name
Proj Code
Amount
010 37 4500 3476
Ice Rent
20,000.00
010 37 4500 1388
Ice System
10,000.00
3722
Refunds
1,000.00
010 37 4500 3830
Unrestricted Gifts
2,500.00
3113
Sales Tax
4,000.00
010 37 4500 1398
Sales Tax
4,000.00
010 37 4500 3471
Arena Revenue
4,000.00
010 37 4500 1375
Automotive Repair
3,000.00
010 37 4500 1390
Other Contractual
1,500.00
TOTAL
This amendment is being requested because:
25,000.00
TOTAL
25,000.00
Amendments are being made to fix current line item overages as well as preparing for anticipated
expenses and revenues thru June 30, 2024
Prior Committee Actions (Dates):
(Signature Dept. or Designee)
7/0 DIGITALLY SIGNED 4/15/2024
Date (Si ature Finance Dept. Re Date
Date Posted (Finance Dept.)
K:luserslshared goodies\formslCopy of Budget Amendment Request Form (Apr 2003)